The nurse is caring for a burn-injured patient who weighs 154 pounds, and the burn injury covers 50% of his body surface area

The nurse calculates the fluid needs for the first 24 hours after a burn injury using a standard fluid resuscitation formula of 4 mL/kg/% burn of intravenous (IV) fluid for the first 24 hours. The nurse plans to administer what amount of fluid in the first 24 hours? a. 2800 mL
b. 7000 mL
c. 14 L
d. 28 L


C
154 pounds/2.2 = 70 kg
4 ? 70 kg ? 50 = 14,000 mL, or 14 liters.

Nursing

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When working with families, which of the following would be most important for the community health nurse to do first?

A) Adapt interventions to the family's stage of development. B) Begin at the family's level of functioning. C) Recognize the variations in family structures. D) Focus on the individual members of the family.

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Sally (RN) and Melissa (RN) have shared an ongoing conflict since the first day that Melissa worked on the unit. Sally has confided to another colleague that she doesn't even know why the conflict started or what it was about. This is an example of:

a. How expectations and objectives need to be made clear in team situations. b. The need to encourage open discussion of disagreements in opinions. c. The importance of involving all staff in discussions in group settings. d. The enduring nature of first impressions.

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A nurse is caring for a patient who is confused, disoriented, and experiencing visual hallucinations. While preparing to provide personal care, the nurse should:

a. ask the patient, "Do you remember who I am?" b. speak minimally so as not to disturb the patient. c. pat the patient on the forearm and say, "Let's get started.". d. explain to the patient what will happen during the care.

Nursing

When applying a new transdermal patch, remove the old patch first. Leaving more than one drug patch on a patient can cause a possible ________.

Fill in the blank(s) with the appropriate word(s).

Nursing